Organization Active NPI

Moshe Haimov MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1417138132
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
095458-1 Issued in NY
Legal business name
MOSHE HAIMOV MD PC
Practice address
12 E 97TH St
New York, NY 10029-6918
Phone
(212) 289-3180
Fax
(212) 289-4814
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moshe N Haimov, MD
Title
President
Phone
(212) 289-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 095458-1 NY Primary

Addresses

Primary practice location

12 E 97TH St
New York, NY 10029-6918

Mailing address

12 E 97TH St
New York, NY 10029-6918
Phone (212) 289-3180

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1417138132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 97TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296918",
            "telephone_number": "212-289-3180",
            "fax_number": "212-289-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 97TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296918",
            "telephone_number": "212-289-3180",
            "fax_number": "212-289-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE HAIMOV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "HAIMOV",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-289-3180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "095458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.